The Children. Flashcards
Infant with diffuse desquamating rash
SSSS - staphylococcal scalded skin syndrome, check the umbilical stump for infection
Nikolskys sign - large flaccid blisters that extend with pressure
Tx for otitis media
Amoxicillin - move to Amox-Clav if not resolving, or if recently to with abx
Purpura in a child with normal blood work results with abdo pain and arthralgia
Immunoglobulin A Purpura (previously H-S purpura)
Abdo pain/ early satiety - progressing GI sx and rapid wt loss must rule out
SMA syndrome - there the SMA compresses the duodenum
What hormone may be elevated in Turners after age ten
FSH (they will have low estrogen and elevated LH as well)
Most common complication of HiB meningitis?
Sensorineural hearing loss
Bulging fontanelles
Meningitis - might not have nuchal rigidity
Still’s murmur
Mid-LSB, mid systolic, a diastolic murmur is more suggestive of pathology
Why no ceftriaxone under 1 month
Can cause liver enzyme increases
Fluid status physical exam on a baby
Fontanelles, weight, sunken eyes/ tears, mucus membranes, tachycardia, cap refill, activity, turgor and mottling
Most common cause of eye infection for newborns
Chlamydia
What is Spondyolysis
Defect of pars interarticularis. -stress fracture due to chronic hyper extension - adolescent athlete. Evaluate first with an X-ray
Adolescent with bilateral lower lobe pneumonia
Mycoplasma is common in youths CAP
Bleeding reddish/blue mass in nose of child
Juvenile Nasopharyngeal Angiofibroma
Initiating puberty in Turner’s syndrome
Give estrogen, then add progesterone once menarche is obtained
Palpable purpura on a child?
Immunoglobulin A vasculitis (H-S purpura)
Features of Fragile X
Prominent jaw, forehead, thin face with protuberant ears, intellectual disability
Tx for absence seizures
Ethosuximide
Kid with anemia and AKI after a stomach flu like illness
Renal vasc thrombus - HUS secondary to a Shiga toxin bacterial gastro - E.Coli or Shigella
HUS sx
Anemia + kidney injury in a kid after a GI illness
Risk factors for recurrent AOM
Lack of breastfeeding, smoke exposure, daycare
Abnormality in Fragile X?
FMR1 gene - X linked dominant condition due to unstable CGG repeat
Facial features of Fragile X
Long narrow face with prominent jaw, large ears and deep-set eyes, macroorchism may also be seen closer to puberty
Starting ADHD med what do you need to consider
Heart problems/ congential deafness - need a screening ECG, seizures, unstable weight/ loss of weight, growth in children, head trauma
Kallman’s syndrome features
Idiopathic hypogonad - absent secondary sex, but tall, infertility.
Inheritance of huntingtons
Autosomal dominant
Vit D levels test in deficiency
25-hydroxyvitamin D
Tuberous Sclerosis presents with?
Seizure in kid, CT shows calcification in nodules around ventricles, fibrous growths of the nail fold
Apnea of prematurity tx?
Caffiene - enteral
Test for muscular dystrophy in children?
Creatine kinase
VACTERL
Vertebral, anal, cardiac, Tracheoesophageal fistula, renal and limb abnormalities
- look for TEF (can’t advance an NG tube
